层级随访追踪管理在糖尿病视网膜病变术后出院患者中的应用  

Application of hierarchical follow-up tracking management in discharged patients after operation for diabetic retinopathy

作　　者：黄春霞[1] 林秀丽[2] 王晓燕[1] 张杨[1] Huang Chunxia;Lin Xiuli;Wang Xiaoyan;Zhang Yang(Department of Ophthalmology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Infectious Diseases,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院眼科,温州325000 [2]温州医科大学附属第一医院感染内科,温州325000

出　　处：《中华现代护理杂志》2021年第29期4003-4007,共5页Chinese Journal of Modern Nursing

基　　金：温州市科学技术局项目(Y2020608)。

摘　　要：目的研究层级随访追踪管理干预对行糖尿病视网膜病变(DR)术后出院患者的影响。方法采用便利抽样法,选取2019年11月—2020年11月在温州医科大学附属第一医院行DR手术后出院患者120例为研究对象,将患者按随机数字表法随机分为观察组和对照组,各60例。对照组出院后采用常规随访追踪管理,观察组出院后采用层级随访追踪管理,两组均随访3个月。比较两组患者随访率、随访应答率、随访困难率、随访满意率以及干预期间不良反应发生率。干预前后比较两组患者空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)水平以及成年人健康自我管理能力测评量表(AHSMSRS)评分情况。结果观察组干预后随访率、随访应答率、随访满意率高于对照组,随访困难率低于对照组,干预期间不良反应发生率低于对照组,差异均有统计学意义(P<0.05)。干预后观察组FPG、2hPG、HbA1c低于对照组,AHSMSRS各维度得分及总分高于对照组,差异均有统计学意义(P<0.05)。结论层级随访追踪管理应用于行DR术后出院患者中,可以提高患者随访依从性,改善血糖代谢,提高健康自我管理能力,减少术后不良反应发生,效果较理想。Objective To study the effect of hierarchical follow-up tracking management in discharged patients after operation for diabetic retinopathy(DR).Methods Using the convenient sampling method,a total of 120 patients discharged from hospital after DR surgery in the First Affiliated Hospital of Wenzhou Medical University from November 2019 to November 2020 were selected as the research objects.The patients were randomly divided into the observation group and the control group according to the random number table method,with 60 cases in each group.The control group received routine follow-up management after discharge,while the observation group received hierarchical follow-up tracking management after discharge.Both groups were followed up for 3 months.The follow-up rate,follow-up response rate,follow-up difficulty rate,follow-up satisfaction rate and the incidence of adverse reactions during the intervention period were compared between the two groups.The levels of fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)and the score of the Rating Scale of Health Self-management Skill for Adults(AHSMSRS)were compared between the two groups before and after the intervention.Results After intervention,the follow-up rate,follow-up response rate and follow-up satisfaction rate of the observation group were higher than those of the control group,the follow-up difficulty rate was significantly lower than that of the control group,and the incidence rate of adverse reactions during the intervention period was lower than that of the control group.The differences were all statistically significant(P<0.05).After the intervention,the FPG,2hPG and HbA1c of the observation group were lower than those of the control group,and the scores of various dimensions and the total score of AHSMSRS were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The application of hierarchical follow-up tracking management in discharged patients after DR

关 键 词：糖尿病视网膜病变 层级随访追踪管理 糖代谢 自我管理能力 

分 类 号：R473[医药卫生—护理学]